改良阴茎成形术治疗青少年男性常见外生殖器畸形的疗效分析

目的:分析探讨2种改良阴茎成形术治疗青少年男性常见外生殖器畸形的临床效果。方法:选取2018年1月至2020年3月在南京医科大学附属常州第二人民医院接受改良阴茎成形术治疗的77例青少年男性外生殖器畸形患者，其中包皮过长及包茎患者56例，年龄（17.8±2.3）岁；隐匿阴茎患者21例，年龄（14.6±2.6）岁。回顾手术...

Effect of modified phalloplasty on common external genital malformations in adolescent males

Objective　To explore the clinical effects of two kinds of modified phalloplasty in adolescent males with common external genital malformations. Methods　The clinical data of 77 adolescent males with common external genital malformations who underwent modified phalloplasty in The Affiliated Changzhou No.2 People's Hospital of Nanjing Medical University from January 2018 to March 2020 were retrospectively reviewed. Among them, 56 patients with redundant prepuce and phimosis were (17.8±2.3) years old, and 21 patients with concealed penis were (14.6±2.6) years old. The operative procedure, operative time, blood loss, postoperative complications, and follow-up were reviewed to summarize the application effect. Results　Fifty-six patients with redundant prepuce and phimosis underwent modified circumcision, and 21 patients with concealed penis underwent modified phalloplasty. The operation process of all patients was smooth. In 56 patients with redundant prepuce and phimosis, 4 patients had edema of varying degrees, which resolved spontaneously within 2 weeks. In 21 patients with concealed penis, 5 patients developed edema of varying degrees, which all resolved spontaneously within 3 weeks; 1 patient had postoperative retropubic infection, which improved within 1 week after active symptomatic treatment. After follow up of 6-12 months, the penises of both groups were well straightened and naturally esthetic in appearance, and the patients and their parents were satisfied. Conclusions　Both modified surgical methods have good surgical results and postoperative appearance. For patients with redundant prepuce and phimosis, modified circumcision has the advantages of less bleeding, lower cost, and aesthetic incision. For patients with concealed penis, the incision of modified phalloplasty is smaller, penile release is more adequate, and fixation is stronger. Besides, modified phalloplasty is not only suitable for pediatric patients with concealed penis, has a high application value in young patients.